Flashcards in Neonatal Life Support/Resus Deck (29):
What is basic resus in neonate?
Up to Positive pressure ventilation
If needs more, like chest compressions, need advanced
Neonatal resuscitation Focus is?
ductus Portal vein >IVC>RA>Ovale>LA>LV>systemic
Any blood that gets into RV and pulmonary artery passes into aorta via duct ductus arteriosus
Adaptation following birth in Resp?
More pulmonary blood flow
Systemic vascular resistance increases with clamping
Functional closure of ductus arteriosus via dramatic increase in pulmonary blood flow
3 things to ask when baby is born?
Good tone (flexed, not floppy/extended)
How to stimulate baby?
What to do at resus after initial assessment?
Maintain normal temp
Ensure open airway
HR in Neonatal resuscitation?
If HR is
Reassess after 30seconds
If all else fails in Neonatal resuscitation, what drugs?
O NEG blood
Colour in baby?
Not really reliable: use Sp02
Listen to via stethoscope
Can palpate cord for pulsation S
Signs of a compromised newborn
What is open airway in Neonatal resuscitation ?
Neutral: 15-20degrees extension 'sniffing position'
25 32 was
When to ventilate a baby?
O2 for resus? %?
>32 weeks? Room air
When to intubate a neonate?
How to know successful intubation?
CO2 detector (gold is good)
When bag mask ventilation not indicated?
When give chest compressions in Neonatal resuscitation ? How much O2?
How much for effective chest compression?
1/3 of AP diameter
Most effective route for IV access in Neonatal resuscitation ?
How many events and breath/compressions in Neonatal resuscitation ?
When to use I/O in Neonatal resuscitation?
Adrenaline dose for Neonatal resuscitation?
0.1 - 0.3ml/kg 1:10,000
10x the dose if down endotracheal tube
Extra considerations for preterm baby Neonatal resuscitation ?
Increase ambient temp
Poly there plastic bad
Senior medical staff
When discontinue Neonatal resuscitation ?
If no response after 10 minutes of maximal resus. No hard and fast rule.